Public and private healthcare: they are not rivals, they are necessary allies

Published on May 14, 2026 | Translated from Spanish

Health policy expert Olga Sánchez proposes an approach that avoids the sterile debate between defenders of public and private systems. Her thesis is simple: both systems must coordinate to achieve efficient coverage. The public sector guarantees universal access and equity, while the private sector brings innovation and speed for those who can afford it. The key lies in resource management, not ideological confrontation.

Illustration of two gears, one blue (public) and one green (private), interlocked. Health symbols (red cross, heart) and hands collaborating. Light background.

Technology as a bridge between two healthcare worlds 🤝

Real integration between systems goes through digitalization and clinical data exchange. Shared medical record platforms, electronic referral systems, and interoperability protocols allow a patient to move from public to private consultation without duplicating tests or procedures. Sánchez points out that avoiding these duplications is where the greatest savings lie. Technology does not resolve the ideological debate, but it does optimize what already exists.

The day the public and private systems passed the buck 🎾

The theory sounds good, but in practice it sometimes feels like a tennis match where no one wants to return the ball. Patients who go from public to private and back again because each place asks for the same X-ray again. Or worse, the public system refers to the private one, and then the private one says that's not covered by their insurance. Sánchez is right: coordination is needed. But in the meantime, the patient keeps waiting.